Long-Term Care, Home Health & Hospice

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Revised RAI Manual Effective October 1

Posted on October 2, 2013 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The most recent revisions to the Resident Assessment Instrument (“RAI”) User’s Manual became effective yesterday for all assessments with an assessment date on or after October 1.  The significant portion of the revisions addresses changes to therapy coding and swallowing and nutrition.  

Therapy must now be coded with the total number of minutes the respective discipline of therapy was administered to the resident in co-treatment sessions during the previous seven days.  Additionally, therapy will be tracked on distinct calendar days.

Now, providers must specifically code the proportion of total calories a resident receives through an “artificial route.”   This includes parenteral feeding and fluid intake by IV or tube feeding.

For both of the above changes, transitional RUGs will be available for the period of October 1, 2013 to October 13, 2013.

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